Expandable spinal implants, systems and methods are disclosed. An expandable spinal implant may include a first endplate, a second endplate, and a moving mechanism that is operably coupled to the first and second endplates. The moving mechanism may include a wedge, a first sliding frame and a second sliding frame disposed on opposite sides of the wedge, a screw guide housing a rotatable first set screw and a rotatable second set screw opposite the first set screw. The first set screw may be operably coupled to the second sliding frame and the second set screw may be operably coupled to the wedge. The moving mechanism may operably adjust a spacing between the first and second endplates upon simultaneous rotation of the first and second set screws and operably adjust an angle of inclination between the first and second endplates upon translating the first set screw or second set screw.

A support device for supporting a biological membrane includes a support bar that is elongated, that extends along a length direction and that has at least one cylindrical surface extending along the length direction for supporting the biological membrane. A method of using the support device, which is suitable for mounting on a space of a bone defect structure of a human body and which is suitable for supporting a biological membrane, is also disclosed.

A method for facet joint stabilization or fusion includes inserting an implant into a facet joint of a patient and introducing a bone cement into the facet joint. The implant includes a body that is sized and configured to be entirely contained in the facet joint. The bone cement may be introduced through a first channel of the body of the implant. A portion of the bone cement may flow back into the implant through a second channel in the body of the implant.

Various surgical tools having a movable handle mechanism including a positioning handle are disclosed. The movable handle mechanism may be configured to move forward and backward in a longitudinal direction along the housing and rotate clockwise and counterclockwise around the housing. In various embodiments, the housing may include a plurality of channels and each channel may have at least one detent. The movable handle mechanism may be configured to securely couple to the housing via one channel of the plurality of channels and one detent of the plurality of detents. At least one surgical tool may include a drill having an angled tip portion and a sleeve configured to protect adjacent structures from lateral edges of the drill bit when the drill bit is rotating. Another surgical tool may include a screwdriver having an elastic retaining clip configured to progressively release a bone screw therein at an extraction force.

An ankle prosthesis comprising a tibial implant, a talar implant and an insert to articulate the implants. The top face of the tibial implant having an anchoring fin, and the bottom face is articulated with the top surface of the insert. The bottom face of the talar implant includes an anchor to the talar bone, and the top face is articulated with the bottom surface of the insert. The articulation surface being saddle-shaped and including a longitudinal central groove allowing the insert to move longitudinally and rotate transversely. The top face of the tibial implant includes, on its anterior edge, a shield covering the bottom anterior portion of the tibia, and the tibial face is inclined and forms an angle with the horizontal of between 15° and 45°. Passages are provided in the shield for bone screws passing through in an ascending manner and open on the inclined tibial face.

Spinal plates with additional features to improve the stability of the interface between the plate and the underlying bone. A bone plate may include one or more sharp ridges along the periphery of its underside. When attached to bone, the ridge digs into the bone and increases stability. A bone plate may alternatively or additionally include one or more holes for optional spikes, which may be inserted once the plate is attached to the bone. By separating the spikes and including them as an optional component, the plate may enhance stability while reducing or eliminating the chance of the spike injuring the patient. Furthermore, bone screws may incorporate alternating notches and ridges into the head of the screw. The notches and ridges may interface with a set screw, thereby preventing rotation and loosening of the screw.

A system and method for spinal fusion comprising a spinal fusion implant of non-bone construction releasably coupled to an insertion instrument dimensioned to introduce the spinal fusion implant into any of a variety of spinal target sites, in particular into the thoracic region of the spine.

The present invention provides an expandable fusion device capable of being inserted between adjacent vertebrae to facilitate the fusion process. The expandable fusion device may include first and second endplates, a translation member configured to expand an anterior side and/or posterior side of the device, a plurality of joists configured to connect the first and second endplates to the translation member, and first and second actuation members disposed internally to the device such that openings on a back side of the device can be used to expand or compress the anterior side, the posterior side, or both and such openings may also be used to introduce graft material into the device.

Systems and methods are described for correcting sagittal imbalance in a spine including instruments for performing the controlled release of the anterior longitudinal ligament through a lateral access corridor and hyper-lordotic lateral implants.

The present disclosure relates to a spinal implant. The spinal implant may be used for lateral insertion into an intervertebral disc space. For example, the spinal implant may include a spacer body to which a plate is fixed. The intervertebral spacer body may include a pair of opposite sides having a pyramid-shaped teeth to fuse to bone. The plate defines at least one upper and lower borehole that each receives a screw. Each screw attaches the plate to a vertebral body between which the intervertebral spacer body is inserted. The boreholes may include locking threads that are adapted to lock the screws into place by engaging complementary locking threads of head of the screw.